Preparatory Balloon Aortic Valvuloplasty During Transcatheter Aortic
... represents a typical TAVI patient population at high risk for open-heart surgery (logistic EuroSCORE [European System for Cardiac Operative Risk Evaluation]: 21.0 12.8%, STS [Society of Thoracic Surgeons] score: 7.7 6.7%) with symptomatic aortic stenosis (aortic valve area: 0.63 0.2 cm2, trans ...
... represents a typical TAVI patient population at high risk for open-heart surgery (logistic EuroSCORE [European System for Cardiac Operative Risk Evaluation]: 21.0 12.8%, STS [Society of Thoracic Surgeons] score: 7.7 6.7%) with symptomatic aortic stenosis (aortic valve area: 0.63 0.2 cm2, trans ...
Aortic stiffness and valvular calcifications in patients with end
... Abstract: Objectives. To evaluate the presence and extent of cardiac calcifications and aortic stiffness in patients with end-stage renal disease (ESRD). Patients and methods. The study group consisted of 60 patients with ESRD with a mean age of 51.7 years, treated with peritoneal dialysis. In all p ...
... Abstract: Objectives. To evaluate the presence and extent of cardiac calcifications and aortic stiffness in patients with end-stage renal disease (ESRD). Patients and methods. The study group consisted of 60 patients with ESRD with a mean age of 51.7 years, treated with peritoneal dialysis. In all p ...
Managing congenital heart disease and comorbidities – opening a
... There are several well-known structural malformations that are associated with diverse CHD. The most common are gastrointestinal (GIT) malformations, congenital diaphragmatic hernias, abdominal wall defects, genito-urinary abnormalities and limb and musculoskeletal malformations. Some of these are o ...
... There are several well-known structural malformations that are associated with diverse CHD. The most common are gastrointestinal (GIT) malformations, congenital diaphragmatic hernias, abdominal wall defects, genito-urinary abnormalities and limb and musculoskeletal malformations. Some of these are o ...
Instantaneous pressure gradient across the aortic valve
... Abstract Aortic stenosis is the most frequent valvular heart disease. The mean systolic value of the transvalvular pressure gradient (TPG) is commonly utilized during clinical examination to evaluate its severity and it can be determined either by cardiac catheterization or by Doppler echocardiograp ...
... Abstract Aortic stenosis is the most frequent valvular heart disease. The mean systolic value of the transvalvular pressure gradient (TPG) is commonly utilized during clinical examination to evaluate its severity and it can be determined either by cardiac catheterization or by Doppler echocardiograp ...
Prospective and Retrospective ECG Gating for Thoracic CT
... Thoracic aortic CT angiography with cardiac gating may now be considered the preferred technique for thoracic CT angiography when diagnostic concern relates to the aortic sinus, ascending aorta, or coronary arteries. An alternative technique is gated thoracic aortic MR angiography using steadystate ...
... Thoracic aortic CT angiography with cardiac gating may now be considered the preferred technique for thoracic CT angiography when diagnostic concern relates to the aortic sinus, ascending aorta, or coronary arteries. An alternative technique is gated thoracic aortic MR angiography using steadystate ...
Relation Between Renal Function Within the Normal Range and
... contrast, diastolic and mean BP values were not significantly different in the 3 groups. The groups did not differ by body mass index, waist circumference, smoking habits, and hypertension duration. As reported in Table 1, aortic PWV increased progressively with decreasing GFR. Also, upper-limb PWV ...
... contrast, diastolic and mean BP values were not significantly different in the 3 groups. The groups did not differ by body mass index, waist circumference, smoking habits, and hypertension duration. As reported in Table 1, aortic PWV increased progressively with decreasing GFR. Also, upper-limb PWV ...
Ampulla Cardiomyopathy (Takotsubo Cardiomyopathy)-- - A Review
... fact, we think the syndrome is probably under- ...
... fact, we think the syndrome is probably under- ...
Current Status of Transcatheter Aortic Valve Replacement
... Surgical aortic valve replacement (SAVR) has long been the mainstay of therapy for severe aortic stenosis. However, transcatheter aortic valve replacement (TAVR) is now generally accepted as the new standard of care for patients with symptomatic aortic stenosis who are not candidates for open surger ...
... Surgical aortic valve replacement (SAVR) has long been the mainstay of therapy for severe aortic stenosis. However, transcatheter aortic valve replacement (TAVR) is now generally accepted as the new standard of care for patients with symptomatic aortic stenosis who are not candidates for open surger ...
Canadian Cardiovascular Society Position Statement on the
... aorta. For the descending thoracic aorta, surgical intervention is recommended at a diameter of 6.5 cm7. 2. Bicuspid Aortic Valve Aortopathy: Patients with bicuspid aortic valves have an increased risk of aortic dilation and molecular and histological changes suggesting an aortopathy independent of ...
... aorta. For the descending thoracic aorta, surgical intervention is recommended at a diameter of 6.5 cm7. 2. Bicuspid Aortic Valve Aortopathy: Patients with bicuspid aortic valves have an increased risk of aortic dilation and molecular and histological changes suggesting an aortopathy independent of ...
Management of Paradoxical Low-Flow, Low
... is often associated with a LG, even with severe stenosis. However, flow and gradient are not synonymous and provide complementary information; flow is of prognostic importance as a marker for reduced cardiac pump function and worse outcomes, whereas gradient is of diagnostic importance because a LG wi ...
... is often associated with a LG, even with severe stenosis. However, flow and gradient are not synonymous and provide complementary information; flow is of prognostic importance as a marker for reduced cardiac pump function and worse outcomes, whereas gradient is of diagnostic importance because a LG wi ...
- Ultrasound in Medicine and Biology
... Abstract—Interruption of the aortic arch (IAA) is difficult to detect and diagnose in utero. However, prenatal diagnosis may be beneficial because IAA is rapidly fatal (median age, 10 d) if left uncorrected. Our objective was to review the direct and indirect echocardiographic markers associated wit ...
... Abstract—Interruption of the aortic arch (IAA) is difficult to detect and diagnose in utero. However, prenatal diagnosis may be beneficial because IAA is rapidly fatal (median age, 10 d) if left uncorrected. Our objective was to review the direct and indirect echocardiographic markers associated wit ...
Guidelines for the Diagnosis and Management of Patients With
... 4. Patients with Loeys-Dietz syndrome should have yearly magnetic resonance imaging from the cerebrovascular circulation to the pelvis. (LOE: B) 5. Patients with Turner syndrome should undergo imaging of the heart and aorta for evidence of bicuspid aortic valve, coarctation of the aorta, or dilatati ...
... 4. Patients with Loeys-Dietz syndrome should have yearly magnetic resonance imaging from the cerebrovascular circulation to the pelvis. (LOE: B) 5. Patients with Turner syndrome should undergo imaging of the heart and aorta for evidence of bicuspid aortic valve, coarctation of the aorta, or dilatati ...
STATE OF ART ON TRANSCATHETER AORTIC VALVE
... The Sapien valve of the first generation was designed for insertion through both transfemoral and transapical approach (through the apex of the left ventricle). Structurally, it is composed of three cusps of bovine pericardium sutured on a stainless steel stent. The implant for transfemoral approach ...
... The Sapien valve of the first generation was designed for insertion through both transfemoral and transapical approach (through the apex of the left ventricle). Structurally, it is composed of three cusps of bovine pericardium sutured on a stainless steel stent. The implant for transfemoral approach ...
Congenital abnormalities of aortic artery. Assessment in neonates
... side of TA, separated by a short distance. Type III. Each artery is born independently of the TA’s lateral side, one away from the other. Type IV. One branch is born from the trunk and the other, from the descendent aorta or the ductus. Van Praagh questions Collet’s classification, specially type IV ...
... side of TA, separated by a short distance. Type III. Each artery is born independently of the TA’s lateral side, one away from the other. Type IV. One branch is born from the trunk and the other, from the descendent aorta or the ductus. Van Praagh questions Collet’s classification, specially type IV ...
Percentage of Left Ventricular
... ventricular and aortic pressure pulses and indicator-dilution curves for measurement of cardiac output were recorded at rest and during at least one other physiological state (table 2). Alteration of the physiological status of the patient induced changes in cardiac output that ranged from +58% (exe ...
... ventricular and aortic pressure pulses and indicator-dilution curves for measurement of cardiac output were recorded at rest and during at least one other physiological state (table 2). Alteration of the physiological status of the patient induced changes in cardiac output that ranged from +58% (exe ...
Transcatheter Aortic Valve Replacement for Aortic
... causes of aortic valve disease include autoimmune disorders, carcinoid syndrome, metabolic disorders, weightloss medications, and radiation therapy. Individuals who have a history of infective endocarditis, myocardial infarction, or heart failure are at an increased risk of developing aortic stenosi ...
... causes of aortic valve disease include autoimmune disorders, carcinoid syndrome, metabolic disorders, weightloss medications, and radiation therapy. Individuals who have a history of infective endocarditis, myocardial infarction, or heart failure are at an increased risk of developing aortic stenosi ...
Progression of Aortic Stenosis
... their deaths. The conclusion was, again, that patients be followed up until symptoms develop. The conclusion that asymptomatic patients with acquired valvular aortic stenosis be followed up closely until symptoms develop was echoed by Pellikka et al.26 They followed up 113 asymptomatic patients with ...
... their deaths. The conclusion was, again, that patients be followed up until symptoms develop. The conclusion that asymptomatic patients with acquired valvular aortic stenosis be followed up closely until symptoms develop was echoed by Pellikka et al.26 They followed up 113 asymptomatic patients with ...
STG- TAVI seminar-DR. SANDEEP MOHANAN
... Economic impact and quality of life? • Quality of life is significantly more for femoral TAVR patients ...
... Economic impact and quality of life? • Quality of life is significantly more for femoral TAVR patients ...
AORTIC VALVE: Aortic valve case studeis
... velocities can be observed on PW, CW, and Color Doppler through the LVOT. The CW velocity curve in LVOTO will be smooth and rounded and peak later in systole as the degree of stenosis increases. High velocity flows and turbulence in the outflow tract, particularly in the setting of peak LVOT Dopp ...
... velocities can be observed on PW, CW, and Color Doppler through the LVOT. The CW velocity curve in LVOTO will be smooth and rounded and peak later in systole as the degree of stenosis increases. High velocity flows and turbulence in the outflow tract, particularly in the setting of peak LVOT Dopp ...
Coronary subclavian steal syndrome: a rare
... on the ECG. The patient had coronary catheterisation done two days after the NSTEMI, which showed that both his bypass grafts were patent and his prior stented segment in the circumflex artery had only minor disease. Retrograde myocardial blood flow was demonstrated, with a selective injection of co ...
... on the ECG. The patient had coronary catheterisation done two days after the NSTEMI, which showed that both his bypass grafts were patent and his prior stented segment in the circumflex artery had only minor disease. Retrograde myocardial blood flow was demonstrated, with a selective injection of co ...
Is It Reasonable to Treat All Calcified Stenotic Aortic Valves
... The stent was compressed by traction on a suture placed around it and then was manually loaded into a 5-ml syringe with a cut distal extremity used for stent delivery. During surgery, after cardioplegic arrest of the heart, the ascending aorta was opened and the aortic valve exposed. The distal extr ...
... The stent was compressed by traction on a suture placed around it and then was manually loaded into a 5-ml syringe with a cut distal extremity used for stent delivery. During surgery, after cardioplegic arrest of the heart, the ascending aorta was opened and the aortic valve exposed. The distal extr ...
Clinical significance of cardiac murmurs: Get the sound and rhythm
... arterial pulsation and often with (sinus) tachycardia. The condition can be acute (hours), subacute or chronic (weeks to months) but is always fatal. The fistula can be detected on ultrasound but requires specific images of the region of the ductus arteriosus. ...
... arterial pulsation and often with (sinus) tachycardia. The condition can be acute (hours), subacute or chronic (weeks to months) but is always fatal. The fistula can be detected on ultrasound but requires specific images of the region of the ductus arteriosus. ...
Coarctation of the Aorta - Children`s Hospital of Pittsburgh
... should be made in these patients. The most common cardiovascular malformation associated with CoA is bicuspid aortic valve (BAV). Prior autopsy examination showed 46% of patients with CoA have congenital BAV.13 More modern studies in patients with repaired coarctation found similar results with up t ...
... should be made in these patients. The most common cardiovascular malformation associated with CoA is bicuspid aortic valve (BAV). Prior autopsy examination showed 46% of patients with CoA have congenital BAV.13 More modern studies in patients with repaired coarctation found similar results with up t ...
Turner syndrome
... Common for all the authors is a genuine interest in Turner syndrome. Most of the authors are medical professionals, doctors and psychologists, but women with Turner syndrome and relatives have also been able to contribute with their personal experiences of having and living with Turner syndrome. All ...
... Common for all the authors is a genuine interest in Turner syndrome. Most of the authors are medical professionals, doctors and psychologists, but women with Turner syndrome and relatives have also been able to contribute with their personal experiences of having and living with Turner syndrome. All ...
influence of the size of aortic valve prostheses on
... myocardiac ischemia, diastolic and systolic ventricular dysfunction, and ventricular arrhythmias associated with sudden death. A number of studies, mostly of patients with systemic arterial hypertension, have confirmed the adverse influence of L V H on life expectancy 9' 10; among patients with aort ...
... myocardiac ischemia, diastolic and systolic ventricular dysfunction, and ventricular arrhythmias associated with sudden death. A number of studies, mostly of patients with systemic arterial hypertension, have confirmed the adverse influence of L V H on life expectancy 9' 10; among patients with aort ...
Turner syndrome
Turner syndrome (TS) also known as Ullrich–Turner syndrome, gonadal dysgenesis, and 45,X, is a condition in which a female is partly or completely missing an X chromosome. Signs and symptoms vary among those affected. Often, a short and webbed neck, low-set ears, low hairline at the back of the neck, short stature, and swollen hands and feet are seen at birth. Typically they are without menstrual periods, do not develop breasts, and are unable to have children. Heart defects, diabetes, and low thyroid hormone occur more frequently. Most people with TS have normal intelligence. Many, however, have troubles with spatial visualization such as that needed for mathematics. Vision and hearing problems occur more often.Turner syndrome is not usually inherited from a person's parents. No environmental risks are known and the mother's age does not play a role. Turner syndrome is due to a chromosomal abnormality in which all or part of one of the X chromosomes is missing or altered. While most people have 46 chromosomes, people with TS usually only have 45. The chromosomal abnormality may be present in just some cells in which case it is known as TS with mosaicism. In these cases, the symptoms are usually fewer and possibly none occur at all. Diagnosis is based on physical signs and genetic testing.No cure for Turner syndrome is known. Treatment, however, may help with symptoms. Human growth hormone injections during childhood may increase adult height. Estrogen replacement therapy can promote development of the breasts and hips. Medical care is often required to manage other health problems with which TS is associated.Turner syndrome occurs in between one in 2000 and one in 5000 females at birth. All regions of the world and cultures are affected about equally. People with TS have a shorter life expectancy, mostly due to heart problems and diabetes. Henry Turner first described the condition in 1938. In 1964, it was determined to be due to a chromosomal abnormality.